Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC

NPI: 1659722114 · WASILLA, AK 99654 · Addiction (Substance Use Disorder) Counselor · NPI assigned 06/27/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

$18.90M
Total Medicaid Paid
383,431
Total Claims
71,991
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
NPI Enumeration Date06/27/2016

Related Entities

Other providers sharing the same authorized official: GAITHER, CINDY

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC SCOTTSDALE AZ $43.25M
PREMIER CARE OF INDIANA, INC. MARION IN $33.81M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $18.54M
PREMIER CARE OF OHIO LLC CINCINNATI OH $13.13M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC GLENDALE AZ $12.90M
PREMIER CARE OF WISCONSIN, LLC. WEST ALLIS WI $11.15M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC TUCSON AZ $10.72M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC YUMA AZ $10.33M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $8.96M
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC FARGO ND $8.90M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC PHOENIX AZ $7.83M
PREMIER CARE OF OHIO, LLC. LIMA OH $5.35M
PREMIER CARE OF WISCONSIN, LLC. FOND DU LAC WI $4.91M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC ANCHORAGE AK $4.83M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC LAKE HAVASU CITY AZ $4.60M
COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC MINOT ND $4.16M
PREMIER CARE OF OHIO LLC KETTERING OH $2.67M
PREMIER CARE OF OHIO, LLC COLUMBUS OH $2.49M
PREMIER CARE OF WISCONSIN, LLC. SOUTH MILWAUKEE WI $1.97M
COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC BUCKEYE AZ $1.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,283 $1.11M
2019 86,918 $4.21M
2020 50,647 $1.99M
2021 5,438 $430K
2022 63,081 $3.61M
2023 62,542 $4.27M
2024 51,522 $3.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0033 Oral medication administration, direct observation 224,042 15,474 $12.36M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 89,152 14,161 $3.04M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,223 9,402 $1.56M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 37,231 20,308 $1.18M
T1016 Case management, each 15 minutes 7,885 4,742 $224K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 557 472 $204K
H0001 Alcohol and/or drug assessment 720 685 $134K
H2015 Comprehensive community support services, per 15 minutes 4,578 3,497 $123K
H0046 Mental health services, not otherwise specified 656 614 $25K
90832 Psychotherapy, 30 minutes with patient 284 263 $14K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 249 233 $9K
H0031 Mental health assessment, by non-physician 22 22 $8K
H2017 Psychosocial rehabilitation services, per 15 minutes 357 326 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51 28 $2K
80305 519 371 $1K
86580 275 157 $769.21
93042 143 121 $699.26
86780 61 61 $677.92
H2019 Therapeutic behavioral services, per 15 minutes 987 673 $612.85
86593 375 317 $402.44
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 12 12 $0.00
93041 36 36 $0.00
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 16 16 $0.00